Evidence map›Paper›PMID 32018030›Full record

Trial reportThe Journal of allergy and clinical immunology2020

Understanding the asthmatic response to an experimental rhinovirus infection: Exploring the effects of blocking IgE.

Peter W Heymann, Thomas A E Platts-Mills, Judith A Woodfolk, Larry Borish, Deborah D Murphy, Holliday T Carper, Mark R Conaway, John W Steinke, Lyndsey Muehling, W Gerald Teague and 7 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Lower viral loads in subjects with rhinovirus-challenged allergy despite reduced innate immunity.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    Trial
  4. Pulmonary Innate Lymphoid Cell Responses during Rhinovirus-induced Asthma ExacerbationsAmerican journal of respiratory and critical care medicine · 2021
    Trial
  5. Article
  6. The rhinovirus puzzle: Linking virus and host factors to childhood asthma.The Journal of allergy and clinical immunology · 2026
    Review
  7. Review
  8. Systems Virology at Scale.Current opinion in systems biology · 2025
    Article
  9. The usual suspects: Respiratory syncytial virus and rhinovirus drive asthma development and exacerbation.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. T-helper 2 mechanisms involved in human rhinovirus infections and asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    Review
  15. Cluster analysis of nasal cytokines during rhinovirus infection identifies different immunophenotypes in both children and adults with allergic asthma.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2022
    Article
  16. Novel potential treatable traits in asthma: Where is the research taking us?The journal of allergy and clinical immunology. Global · 2022
    Review
  17. Rhinovirus Infections and Their Roles in Asthma: Etiology and Exacerbations.The journal of allergy and clinical immunology. In practice · 2022
    Review
  18. Review
  19. Gaining Insights into Asthma-related COVID-19 Risk.American journal of respiratory and critical care medicine · 2022
    Article
  20. Asthma and COVID-19: an update.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 1 country.

Peter W HeymannAsthma and Allergic Diseases Center, University of Virginia, Charlottsville, Va; Division of Pediatric Respiratory Medicine, University of Virginia, Charlottsville, Va. Electronic address: pwh5a@virginia.edu.
Thomas A E Platts-MillsAsthma and Allergic Diseases Center, University of Virginia, Charlottsville, Va.
Judith A WoodfolkAsthma and Allergic Diseases Center, University of Virginia, Charlottsville, Va.
Larry BorishAsthma and Allergic Diseases Center, University of Virginia, Charlottsville, Va.
Deborah D MurphyAsthma and Allergic Diseases Center, University of Virginia, Charlottsville, Va; Division of Pediatric Respiratory Medicine, University of Virginia, Charlottsville, Va.
Holliday T CarperAsthma and Allergic Diseases Center, University of Virginia, Charlottsville, Va; Division of Pediatric Respiratory Medicine, University of Virginia, Charlottsville, Va.
Mark R ConawayDepartment of Public Health Sciences, University of Virginia, Charlottsville, Va.
John W SteinkeAsthma and Allergic Diseases Center, University of Virginia, Charlottsville, Va.
Lyndsey MuehlingAsthma and Allergic Diseases Center, University of Virginia, Charlottsville, Va.
W Gerald TeagueDivision of Pediatric Respiratory Medicine, University of Virginia, Charlottsville, Va.
Joshua L KennedyDivision of Allergy and Immunology, University of Arkansas for Medical Sciences, Little Rock, Ark.
Anne-Marie IraniDivision of Pediatric Allergy and Immunology, Virginia Commonwealth University, Richmond, Va.
Matthew D McGrawDivision of Pediatric Pulmonology, University of Rochester, Rochester, NY.
Stephen V EarlyDivision of Pediatric Otolaryngology, University of Virginia, Charlottsville, Va.
Lisa M WheatleyAllergy, Asthma and Airways Biology Branch, Division of Allergy, Immunology, and Transplantation/National Institute of Allergy and Infectious Diseases, Bethesda, Md.
Amy P AdamsDepartment of Pharmacy, University of Virginia, Charlottsville, Va.
Ronald B TurnerDepartment of Pediatric Infectious Diseases, University of Virginia, Charlottsville, Va.
University of Virginia · USNational Institute of Allergy and Infectious Diseases · USUniversity of Arkansas for Medical Sciences · USUniversity of Rochester · USVirginia Commonwealth University · US

Funding

ZACOPRIDE VS METOCLOPRAMIDE--EFFECT ON LOWER ESOPHAGEAL SPHINCTERM01RR000847 · NCRR · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI ALTES, TALISSA A · 1985 to 2010
$48.1M
Translational Regulation in Normal Erythropoiesis and Diamond Blackfan AnemiaP20GM121293 · NIGMS · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI Alan Tackett, Sean D. Taverna · 2017 to 2026
$27.6M
Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
Study of the Cell-specific Inflammasome Responses During Defense Against Gram-negative BacteriaP20GM103625 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI WEINKOPFF, TIFFANY S · 2012 to 2021
$21.5M
INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007496 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Michael G. Brown, Coleen A McNamara · 1995 to 2026
$10.2M
Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
IgE antibodies to the mammalian oligosaccharide galactose-alpha-1, 3-galactose (alpha-gal): immunology, epidemiology and relevance to allergic and inflammatory diseaseR37AI020565 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI THOMAS A. PLATTS-MILLS · 1992 to 2026
$8.4M
DUST MITE, COCKROACH AND CAT ALLERGENS IN HOUSES/ASTHMAR01AI020565 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI PLATTS-MILLS, THOMAS A. · 1985 to 2017
$7.1M
An Evaluation of Treatment with Omalizumab to Improve the Asthmatic Response to aU01AI100799 · NIAID · UNIVERSITY OF VIRGINIA · PI HEYMANN, PETER W, PLATTS-MILLS, THOMAS A. · 2012 to 2015
$5.3M
Viruses and IgE in relation to mechanisms of asthmaP01AI050989 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI PLATTS-MILLS, THOMAS A. · 2001 to 2005
$4.9M
Hallmarks of Protective Immunity in Sequential Rhinovirus Infections in HumansU01AI125056 · NIAID · UNIVERSITY OF VIRGINIA · PI WOODFOLK, JUDITH A · 2016 to 2020
$4.1M
Clinical response to rhinovirus challenge in human asthmaticsU01AI123337 · NIAID · UNIVERSITY OF VIRGINIA · PI BORISH, LARRY C · 2016 to 2020
$3.6M
NCATS NIH HHS KL2 TR000063NCATS NIH HHS KL2 TR001448NCATS NIH HHS UL1 TR000039NCATS NIH HHS UL1 TR003107NCRR NIH HHS M01 RR000847NHLBI NIH HHS UG1 HL139126NIAID NIH HHS K08 AI121345NIAID NIH HHS L40 AI107898NIAID NIH HHS P01 AI050989NIAID NIH HHS R01 AI020565NIAID NIH HHS R01 AI052196NIAID NIH HHS R37 AI020565NIAID NIH HHS T32 AI007496NIAID NIH HHS U01 AI100799NIAID NIH HHS U01 AI123337NIAID NIH HHS U01 AI125056NIGMS NIH HHS P20 GM103625NIGMS NIH HHS P20 GM121293
6 · The paper itself

Abstract

backgroundRhinovirus frequently causes asthma exacerbations among children and young adults who are allergic. The interaction between allergen and rhinovirus-induced symptoms and inflammation over time is unclear.

objectiveOur aim was to compare the response to an experimental inoculation with rhinovirus-16 in allergic asthmatics with the response in healthy controls and to evaluate the effects of administrating omalizumab before and during the infection.

methodsTwo clinical trials were run in parallel. In one of these trials, the response to an experimental inoculation with rhinovirus-16 among asthmatics with high levels of total IgE was compared to the response in healthy controls. The other trial compared the effects of administering omalizumab versus placebo to asthmatics in a randomized, double-blind placebo-controlled investigation. The primary outcome for both trials compared lower respiratory tract symptoms (LRTSs) between study groups over the first 4 days of infection.

resultsFrequent comparisons of symptoms, lung function, and blood eosinophil counts revealed differences that were more pronounced among allergic asthmatics than among controls by days 2 and 3 after virus inoculation. Additionally, an augmentation of upper respiratory tract symptom scores and LRTS scores occurred among the atopic asthmatics versus the controls during the resolution of symptoms (P < .01 for upper respiratory symptom tract scores and P < .001 for LRTS scores). The beneficial effects of administering omalizumab on reducing LRTSs and improving lung function were strongest over the first 4 days.

conclusionsLRTSs and blood eosinophil counts were augmented and lung function was reduced among allergic asthmatics early after rhinovirus inoculation but increased late in the infection during symptom resolution. The effect of administering omalizumab on the response to rhinovirus was most pronounced during the early/innate phase of the infection.

Indexed as

AdultAnti-Allergic AgentsAsthmaDouble-Blind MethodFemaleHumansImmunoglobulin EMaleOmalizumabPicornaviridae InfectionsPlacebo EffectRespiratory Function TestsRespiratory SystemRhinovirusYoung AdultAnti-Allergic AgentsImmunoglobulin EOmalizumaballergyanti-IgEAsthmaIgEomalizumabrhinovirusviral infection

Identifiers

PMID32018030
PMCPMC7733370
OpenAlexW3003945000

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.